on for Employment as
Colonies.
tean or Nurse in the
275
QUESTIONS.
› consider her to be professionally qualified 10 ertake the duties of such an appointment as she
desires r
7.
u aware of any circumstance tending to disqualify S. or such an appointment?
9. The Secretary of State will be glad to receive any in- formation which you may have to give respecting her character or qualifications in addition to what is con- tained in the answers to the foregoing questions.
No.
ANSWERS.
Form to be filled up by the Applicant herself, and sent to the Private Secretary to the Secretary of State, Colonial Office, London, by the Colonial Nursing Association.
Name in full
...
Date of Application
Pofession or Occupation
Mitress
ather's Name
Loa
Lin's
bruary 15
hursing Sister Binsworth
Profession or Occupation
Address...
If dead, his Name and Profession!
ld nevertheless be given.
by and year of birth...
1917.
Guesting Lincashir
Thomas hand.
Farmer. Buenorth
F
Garstang. Lancashire
Age last birthday 317
are
1887 Westmorland
March 14.
ace of birth
Holme
9.
the rac
Stacka
Cont
hether single, married, or a widow
umber of Children
Sons
Daughters
Lunge
Aged respectively
★
I have tonsword he
I have.
erconalies
Jucation
cntion the Schools or alleges at which you ceived your education.
her wemeral; and give in rofessious! as well as ach case the date of
high opmors of her wher
a.
Cars Ful
ability faithfully ways taty
Signature
Indice Center
Occupation, Professional Qualifications, &c. eculers to counc
Electoral One of Address 58 Fuckington Plast.
Brighton-
Date
day.
31.91918
Equl delay in applying but have cft
followed
Wt. 48960. Gp,'18a
$
th
12
15
Insceived my general dust at lower nutid
18981
ung wow Line dekolt kirby Listal fan 1998 to 14 44.
Duratur
'us ar s Professional Shipton
Lufta bisure Hospital y
a 1908 to 1yrs. Bristol vuural stropital pou 1910 to 1913. Burning hun mulinity Hospital form den!?! to hay!? 1915. fessional qualifi- hursing certifi ate oblined, stuptor duft com besuare!
Hospildt kvinder 25th 110.
try and leaving.
tions, and the
hic and date at General bursing Entificats oblines Bristol & meral Hospital
March 194 1713.
stained
each WAS
?
Ch. B. Cul
A
obtained Burning Law
Aptin Cerupretining my E-mal taming I did privati ployment from using
hursing sistes holiday only farm har 1914 to 1716-
h piction of edu-om hearch 17th to angust ha tion to present |
1714 I ois message
Me
ation each position
by you, the dates cwhich
you held
and the cause of
wing; and what
ary you are TW
iving.
pintment desired
a do not apply for a |
larappointment, bonld state to what jaise you would go, what is the lowest y that you would
I served
a Reserve havas hursing sestis pou
15
at Heras & cbralta
Guill Chill"
bee 14th 1418. bro sing
on Hoppelt this
When I lift the heal hurong Service Resure I was receiving it onlary of £ys in Qu
༣.
(#10W)- 38422-1000-10-5
(J. 6.)
Hong Song Girl Sospital.
[TURN OVER.
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